Individual
DR. KENT MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14541 W INDIAN SCHOOL ROAD, STE 600, GOODYEAR, AZ 85395
(623) 535-5599
(623) 535-4696
Mailing address
14541 W. INDIAN SCHOOL RD., STE. 600, GOODYEAR, AZ 85395
(623) 535-5599
(623) 535-4696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24416
AZ
208000000X
Pediatrics Physician
24416
AZ
Other
Enumeration date
05/24/2006
Last updated
09/20/2011
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